Ins/rpl pm gen exist dual lead at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$14,535.95
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$22,363.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$3,824.07 with BLUE CROSS vs $22,363.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $3,824.07 | ↓ -74% |
| AMERIGROUP | AMERIGROUP | $4,863.22 | ↓ -67% |
| MEDICAID | SIMPLYHLTH MD HMO NC | $4,863.22 | ↓ -67% |
| UNITED HEALTHCARE | UNITED MD HMO | $5,106.38 | ↓ -65% |
| WELLCARE | WELL CARE MD HMONC | $5,106.38 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHY KIDS | $5,106.38 | ↓ -65% |
| SUNSHINE STATE | SUNSHINE ST MD HMONC | $5,155.01 | ↓ -65% |
| AETNA | AETNA BETTER HEALTH HEALTHY KIDS | $5,252.27 | ↓ -64% |
| VISTA | COVENTRY MEDICAID | $5,252.27 | ↓ -64% |
| AETNA | AETNA BETTER HEALTH MEDICAID | $5,252.27 | ↓ -64% |
| MEDICAID | PRESTIGE MD HMO NC | $5,349.54 | ↓ -63% |
| CIGNA | CIGNA HMO | $6,038.01 | ↓ -58% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $7,021.98 | ↓ -52% |
| UNITED HEALTHCARE | UNITED HMO | $7,368.00 | ↓ -49% |
| UNITED HEALTHCARE | NHP HMO | $7,368.00 | ↓ -49% |
| AVMED | AVMED ENTRUST | $7,849.41 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $8,207.22 | ↓ -44% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $8,497.94 | ↓ -42% |
| AETNA | AETNA HMO EXCHANGE | $8,497.94 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $8,922.84 | ↓ -39% |
| AVMED | AVMED HMO | $9,146.47 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $9,392.46 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $9,683.18 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $10,063.35 | ↓ -31% |
| AVMED | AVMED PPO | $10,890.78 | ↓ -25% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $10,914.80 | ↓ -25% |
| MEDICARE MANAGED CARE | PROMINENCE | $10,914.80 | ↓ -25% |
| BLUE CROSS | BCBS MEDICARE PPO | $11,296.82 | ↓ -22% |
| AETNA | AETNA HMO | $11,405.13 | ↓ -22% |
| AETNA | AETNA TIER 2 | $11,405.13 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $11,405.13 | ↓ -22% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $11,678.84 | ↓ -20% |
| HUMANA | CAREPLUS MC HMO | $11,897.13 | ↓ -18% |
| HUMANA | HUMANA MEDICARE | $11,897.13 | ↓ -18% |
| AVMED | AVMED MEDICARE | $12,006.28 | ↓ -17% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $12,006.28 | ↓ -17% |
| LEON MEDICAL | LEON HEALTH MC HMO | $12,224.58 | ↓ -16% |
| LEON MEDICAL | LEON MED MC HMO NC | $12,224.58 | ↓ -16% |
| AETNA | AETNA MEDICARE | $12,224.58 | ↓ -16% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $12,442.87 | ↓ -14% |
| BLUE CROSS | BCBS NETWORKBLUE | $13,417.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $13,417.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $14,491.22 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $14,535.95 | ↑ +0% |
| MEDICARE | DEVOTED HEALTH MC HMO | $14,734.98 | ↑ +1% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $16,772.25 | ↑ +15% |
| CIGNA | CIGNA PPO | $17,890.40 | ↑ +23% |
| UNITED HEALTHCARE | UNITED PPO | $17,890.40 | ↑ +23% |
| AETNA | AETNA PPO | $17,890.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $17,890.40 | ↑ +23% |
| QUALITY HEALTH | MULTIPLAN | $20,126.70 | ↑ +38% |
| AFFORDABLE | AFFORDABLE PPO | $20,126.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $20,126.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $20,126.70 | ↑ +38% |
| PHCS | PHCS | $20,126.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $22,363.00 | ↑ +54% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $14,535.95 | $173.17 – $20,126.70 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $542.30 – $553.71 |
| Adventhealth Port Charlotte | Port Charlotte | $23,374.10 | $10,914.80 – $19,930.42 |
| cleveland clinic florida weston hospital | Weston | $21,248.50 | $255.58 – $27,786.50 |
| martin north hospital | Stuart | $1,372.80 | $255.58 – $12,006.28 |
| Bethesda Hospital East | BOYNTON BEACH | $14,535.95 | $2,608.00 – $20,126.70 |
| Boca Raton Regional Hospital | BOCA RATON | $17,694.30 | $4,587.00 – $17,775.97 |
| Doctors Hospital | CORAL GABLES | $14,535.95 | $3,913.53 – $20,126.70 |